Gynecologic and obstetric surgery: challenges and management options

"Obstetric and gynecologic surgery is a craft that requires sound knowledge and skills. The knowledge and skills will need to be applied to the specifics of each surgical patient to enable the best surgical management and minimize complications. This resource book offers insightful management options to many of the challenges a gynecologic or obstetric surgeon may face before, during or after an operation. Designed to guide the surgeon to safe practice throughout all stages of surgical management, it offers case studies, management options with tips and tricks, and ideas for prevention of complications. Key points and summaries are provided at the end of each chapter for 'elevator reading', i.e., quick brushing up of facts on the way to facing a challenge. Divided into two sections the book first covers general pre, intra and post-operative challenges and, second, specific operative procedures within the specialist areas in obstetrics and gynecology"--Provided by publisher

PART I: GENERAL PRE, INTRA, and POST OPERATIVE CHALLENGES SECTION 1: PRE-OPERATIVE CARE 1 Patient with poor ASA score 2 Patient on medication 3 Patient with ischaemic heart disease 4 Patient with Arrhythmias 5 Patient with a pace-maker or implantable defibrillator 6 Patient with complex congenital heart disease (a Fontan Circulation) 7 Hypertensive patient 8 Patient with respiratory disease 9 Patient with diabetes 10 Patient with thyroid disease 11 Patient with renal disease 12 Patient with liver disease 13 Patient with rheumatologic diseases 14 Patient with hematologic disorders 15 Patient at high risk of venous thrombosis 16 Patient on anti-coagulant therapy 17 Patient on steroid therapy 18 Patient with epilepsy 19 Patient with a psychiatric condition 20 Patient with organ transplant 21 Patient with Hep B or Hep C 22 Patient with HIV 23 Obese patient 24 Patient with poor nutritional status 25 Pregnant patient requiring non-obstetric surgery SECTION 2: INTRA-OPERATIVE CARE 26 Transverse incision on the abdomen inadequate for surgery 27 Patient with multiple abdominal scars 28 Patient with previous mesh incisional hernia repair requiring a laparotomy 29 Patient with previous mesh …